Jacklynn K Ebright

Individual provider Active NPI Occupational Therapist · Slippery Rock, PA

NPI 1356644249 · NPPES record last updated Mar 4, 2026

Key facts

NPI
1356644249
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC012997 (PA)
Practice address
1 Morrow Way
Slippery Rock, PA 16057-1313
Phone
(717) 333-1310
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Inc (1,169 clinicians)

Practice addresses (Care Compare)

1122 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (877) 407-3422

470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140204000934 PA Practitioner - Occupational Therapist in Private Practice 1557590098 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Occupational Therapist Current
since Jan 20, 2014
Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC012997 PA Yes

Addresses

Primary practice location

1 Morrow Way
Slippery Rock, PA 16057-1313

Mailing address

1 Morrow Way
Slippery Rock, PA 16057-1314
Phone (717) 333-1310

Other names

  • Ms. Jacklynn K Jacoby Former name

Other providers in Slippery Rock, PA

All providers in Slippery Rock, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.